JENNIFER E EDISON


Address: 4722 W Kellogg Dr, Wichita, KS 67209-2508
Phone: 3164402565

JENNIFER E EDISON (NPI# 1578776001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578776001
Entity Type Individual
Full Name JENNIFER E EDISON
Credential PA
Practice Address 4722 W Kellogg Dr
Wichita
KS 67209-2508
Practice Telephone 3164402565
Practice Fax Number 3164402750
Mailing Telephone 3164402565
Mailing Fax Number 3164402750
Enumeration Date 2007-05-08
Last Update Date 2013-09-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 15-00365 KS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4722 W KELLOGG DR
City WICHITA
State KS
Zip Code 67209-2508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801876339 L. Rosalyn Welch Physician Assistant 4722 W Kellogg Dr, Wichita, KS 67209-2508 2006-01-19
1174180855 Lauren Nicole Clausing Physician Assistant 4722 W Kellogg Dr, Wichita, KS 67209-2508 2019-05-29
1801369434 Kelly Ann Anderson Nurse Practitioner 4722 W Kellogg Dr, Wichita, KS 67209-2508 2019-01-07
1174070635 Kristen Jill Flavell Nurse Practitioner 4722 W Kellogg Dr, Wichita, KS 67209 2016-09-01
1811340615 Desiree K Brogan Nurse Practitioner 4722 W Kellogg Dr, Wichita, KS 67209-2508 2016-07-15
1154706430 Jennifer J Frerichs Nurse Practitioner 4722 W Kellogg Dr, Wichita, KS 67209-2508 2015-07-28
1255746384 Kristin L Goetz Registered Nurse 4722 W Kellogg Dr, Wichita, KS 67209-2508 2014-06-26
1609289156 Immediate Medical Care, P.a. Clinic/Center 4722 W Kellogg Dr, Wichita, KS 67209-2508 2014-06-03
1023447984 Lindsay L Forrester Nurse Practitioner 4722 W Kellogg Dr, Wichita, KS 67209-2508 2013-11-01
1821260183 Immediate Medical Care, P.a. Clinic/Center 4722 W Kellogg Dr, Wichita, KS 67209-2508 2008-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124634878 Vonda Jeanne Foster Pharmacist 1402 S. Ridge Rd, Wichita, KS 67209 2020-09-18
1780290437 Gaia R Priddle Pharmacist 1402 S Ridge Road, Wichita, KS 67209 2020-09-18
1134735889 Thomas Allan Ruesch Pharmacist 1402 South Ridge Road, Wichita, KS 67209 2020-09-18
1619454337 Zachary Hill Pharmacist 6110 W Kellogg, Wichita, KS 67209 2018-07-25
1922401785 Jesse C Hidalgo Jr. Hearing Instrument Specialist 10318 W Maple St, Wichita, KS 67209 2014-10-07
1932458106 West Wichita Assisted Living, LLC Assisted Living Facility 629 S. Maize Ct, Wichita, KS 67209 2012-09-04
1669782231 Gracious Senior Living, LLC Nursing Facility/Intermediate Care Facility 551 S. Holland, Wichita, KS 67209 2010-10-18
1740598044 Devin Jeanne Vrana Chiropractor 1247 S Tyler Rd, Wichita, KS 67209 2010-09-21
1881881019 Jessica Harmon Counselor 501 S Turquoise St, Wichita, KS 67209 2007-10-02
1225246317 Sullivan Gang Care Center Technician 6719 W. Douglas Circle, Wichita, KS 67209 2007-05-20
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871116582 Alia Porter Physician Assistant 115 N Terrace Dr, Wichita, KS 67208-3941 2020-05-28
1881217594 Taylor Nicole Wondra Physician Assistant 1845 N Woodrow Ct, Wichita, KS 67203-2959 2020-05-28
1497378087 Haley Nicole Northcutt Physician Assistant 10107 W Jamesburg St, Wichita, KS 67212-6743 2020-05-18
1649892357 Mong Trinh Thi Hoang Physician Assistant 1933 N Wellington Pl, Wichita, KS 67203-2558 2020-05-15
1609434000 Branden Tang Physician Assistant 10112 E Clark St, Wichita, KS 67207-7747 2019-05-31
1184093379 Evan C Ohlman Physician Assistant 3009 N Cypress, Wichita, KS 67226-4003 2015-09-18
1629388079 Sara A Hildreth Physician Assistant 9415 E Harry St Ste 202, Wichita, KS 67207-5076 2010-10-19
1477700235 Heather S Bloomer Physician Assistant 2465 N Woodridge Ct, Wichita, KS 67226-8208 2008-08-25
1205030145 William Paul Wondra Physician Assistant 141 W Elm St, Sedgwick County Detention Facility, Wichita, KS 67203-3848 2007-06-13
1194888602 Vicki L Gromala Physician Assistant 1861 N. Road Road, Suite 105, Wichita, KS 67206-1264 2006-12-18
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Competitor

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City WICHITA
Zip Code 67209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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